Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intermountain Regenerative Medicine

Organization General Practice Physician · NPI 1922731827

Intermountain Regenerative Medicine is a General Practice Physician in Idaho Falls, Idaho. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1075 S Utah Ave Ste 200
Idaho Falls, ID 83402-3320
Phone: (208) 218-8622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1922731827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Barrs — Office Manager · (919) 439-1512
NPI enumeratedJuly 7, 2022
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address1075 S Utah Ave Ste 200, Idaho Falls, ID 83402-3320

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